Ese urambiwe no kumva ubabaye, uhangayitse, kandi udashobora kwibanda ku kintu icyo ari cyo cyose? Hari igihe ushobora kumva urimo kurwanya ibyo byiyumvo wenyine. Ariko ntabwo uri wenyine. Kwiheba ni indwara ishobora kuvurwa. Kubona ubufasha kuri yo si intege nke, ni imbaraga zikomeye ushobora kwiha. Reka turebe uburyo bwo kuyivura.
Ni gute wahitamo uburyo bwo kuvura bukubereye?
Mu kuvura indwara yo kwiheba, nta gahunda imwe ijyanye na bose. Ni nko kudoda imyenda, igomba guhindurwa kugira ngo ikujyane. Muganga wawe azaguteganyiriza gahunda nziza yo kuvura bitewe n'ubwoko bw'indwara yo kwiheba ufite n'ubukana bwayo.
Ubusanzwe hari ibice byinshi by'ingenzi by'iyi gahunda yo kuvura:
- Ubuvuzi bw'imitekerereze: Ibi bikubiyemo kuganira ku bibazo byawe n'umujyanama w'ubuzima bwo mu mutwe wabyigiye.
- Imiti: Imiti yitwa imiti igabanya ubukana bw'indwara.
- Imyitozo ngororamubiri: Imyitozo ngororamubiri igira ingaruka nziza cyane ku bwonko.
Hari igihe ibi bintu byonyine bishobora kudatanga ihumure rihagije. Ariko ntugahangayike. Niba ari uko bimeze, muganga wawe ashobora no gutekereza ku buryo bwo kuvura indwara zitera ubwonko gukangura ubwonko, nka `(Ubuvuzi bw'amashanyarazi - ECT)`.
Igikuru ni ukwihangana. Bishobora gufata igihe kugira ngo ubone umuti ukubereye n'ingano ikubereye. Nanone, gerageza gushaka umuganga cyangwa umuvuzi woroshye kuvugana nawe kandi ukumva neza. Kuba wihangana kandi ufunguye mu mutwe mu gihe urimo muri uru rugendo bizagufasha gukira vuba.
Imiti igabanya ubukana bw'indwara ikora ite?
Ubwo bwoko bw'imiti twita imiti igabanya agahinda . Ifasha kugabanya agahinda, kwiheba no guhangayika no kunoza ibyiyumvo byawe.
Mu magambo make, bifitanye isano n'ibintu bitanga imiti mu bwonko bwacu. Hari imiti itatu y'ingenzi ifasha mu kugenga ibyiyumvo byacu. Ni serotonin, norepinephrine, na dopamine . Ubushakashatsi bwagaragaje ko mu bwonko bw'umuntu ufite ikibazo cyo kwiheba, imirongo ikoresha iyi miti idakora neza. Imiti igabanya kwiheba ikora mu guhindura imikorere y'iyi miti ku rugero runaka no kongera gukora iyo mirongo neza. Ibyo nibyo bituma ibyiyumvo byawe birushaho kuba byiza.
Nkeneye gufata uyu muti igihe kingana iki?
Akenshi, umuganga wawe akugira inama yo gukomeza gufata imiti yawe igihe runaka nyuma yo kumva umeze neza. Ibi ni ukugabanya ibyago byo kugaruka kw'ibimenyetso byawe. Igihe uzamara ufata imiti kizaterwa n'ibimenyetso byawe, uburyo byarushijeho kuba byiza, ndetse niba warigeze kugira ikibazo cyo kwiheba mbere. Ntugahagarike gufata imiti yawe kugeza igihe umuganga wawe azakubwiriye.
Ni ubuhe bwoko bw'ingenzi bw'imiti igabanya ubukana bw'indwara?
Hari ubwoko butandukanye bw'imiti igabanya ubukana bw'indwara. Niba ufata indi miti, vitamine, inyongeramusaruro cyangwa ibyatsi, ugomba kubimenyesha muganga wawe, kuko imwe muri yo ishobora kugirana isano.
Reka dusobanukirwe ubwoko bw'imiti nyamukuru nk'uko bigaragara mu mbonerahamwe iri hepfo.
| Ubwoko bw'umuti | Uburyo bikora mu buryo bworoshye | Ingero |
|---|---|---|
| SSRI (Indimi zigabanya ubukana bwa serotonin) | Ubwoko bukunze kugirwa inama n'abaganga. Bunongera ikoreshwa ry'ikinyabutabire cyitwa serotonin mu bwonko. | Fluoxetine, Sertraline, Citalopram, Escitalopram |
| SNRIs (Ibikoresho bigabanya ubukana bwa serotonin na norepinephrine) | Igira ingaruka ku mikorere y'ibinyabutabire byombi byo mu bwonko byitwa serotonin na norepinephrine. | Venlafaxine, Duloxetine, Desvenlafaxine |
| Imiti igabanya ububabare mu mutwe (TCAs) | Iyi ni ubwoko bw'imiti ishaje gato. Nubwo ikora neza nka SNRIs, ntabwo itangwa mbere kuko ifite ibyago byinshi byo kugira ingaruka mbi. | Amitriptyline, Imipramine |
| MAOIs (Indimi zigabanya ubukana bwa monoamine oxidase) | Iyi ni yo miti ya mbere igabanya ubukana itangwa. Itangwa gusa iyo indi miti itaragufasha. Mu gihe ufata iyi miti, ugomba kwirinda burundu ibiryo bimwe na bimwe, nka foromaje n'inyama zishaje, hamwe n'imiti imwe n'imwe (nk'imiti igabanya ububabare). | Phenelzine, Isocarboxazide, Selegiline (agace) |
Ubuvuzi bw'imitekerereze ni imbaraga ikomeye.
Uretse imiti, ndetse rimwe na rimwe na rimwe, uburyo bwo kuvura indwara zo mu mutwe ni uburyo bwiza cyane bwo kuvura indwara zo mu mutwe. Nanone bwitwa "Talk Therapy." Ibi bikubiyemo guhura n'inzobere mu by'indwara zo mu mutwe, inzobere mu by'imitekerereze y'abantu, cyangwa undi mujyanama w'ubuzima bwo mu mutwe wahuguwe kugira ngo muganire ku byiyumvo byanyu.
Intego y'ubu buvuzi ni uku:
- Kugufasha gusobanukirwa icyagutera kwiheba.
- Kukwigisha uburyo bwo kugenzura amarangamutima yawe no kuyahangana nayo.
- Kwigisha uburyo bushya bwo guhangana n'ibibazo by'ubuzima.
Uburyo butandukanye bwo kuvura mu kiganiro
Ubu buvuzi bushobora kandi gukorwa mu buryo bukunogeye.
- Ubuvuzi bw'umuntu ku giti cye: Wowe n'umuvuzi ni mwe mwenyine mugira uruhare.
- Ubuvuzi bwo mu matsinda: Kuganira n'abandi bahura n'ibibazo nk'ibyawe ni uburyo bwiza bwo kumva ufite imbaraga no kumenya ko utari wenyine.
- Ubuvuzi bw'abashakanye: Bufasha umukunzi wawe gusobanukirwa imimerere yawe.
- Ubuvuzi bw'umuryango: Bukwigisha uburyo umuryango wawe ushobora kugufasha.
Mu buryo bw'ingenzi bwo kuvura , ubuvuzi bushingiye ku mitekerereze (CBT) n'ubuvuzi bushingiye ku mibanire y'abantu ni byo bikunzwe cyane. CBT igufasha kumenya imiterere mibi y'ibitekerezo byawe no kubihindura.
Ni ubuhe buryo bundi bwo kuvura?
Uretse imiti n'ubuvuzi bwo kuvuga, hari ubundi buryo bwinshi bwo kuvura.
Imyitozo ngororamubiri
Imyitozo ngororamubiri ni umuti mwiza wo kuvura indwara yo kwiheba. Gukora imyitozo ngororamubiri mu gihe cy'iminota 45-60, iminsi 3-5 mu cyumweru, bishobora kugabanya ibimenyetso. Ariko ibuka ko ushobora gukenera imiti cyangwa ubuvuzi hamwe n'imyitozo ngororamubiri.
Uburyo bwo kuvura indwara zo mu bwonko
Ibi bikoreshwa mu ndwara zikomeye cyane zo kwiheba zitarakira ubundi buryo bwo kuvura.
- Ubuvuzi bukoresha amashanyarazi (ECT): Nubwo izina rishobora kumvikana nk'aho riteye ubwoba, ubu ni uburyo bwiza kandi bwizewe. Bukorwa mu gihe uryamye neza kandi usinziriye. Muganga yohereza amashanyarazi mu bwonko bwawe mu gihe gito cyane, nta bubabare. Bukoreshwa mu gutanga ibisubizo byihuse ku barwayi bafite ibyago byo kwiyangiza kuko ubundi buryo bwo kuvura bufata igihe kirekire kugira ngo bukore.
- Gukangura Magnetic mu Mutwe (TMS): Ibi bikubiyemo gushyira agakoresho gakoresha magnetic coil hejuru y'agahanga no gukangura ibice by'ubwonko bigenzura ibyiyumvo. Ntibisaba ikinya.
- Gukangura imitsi yo mu nda y'igituza (VNS): Agakoresho gato kabagwa gashyirwa munsi y'uruhu rw'igituza, bigakurura imitsi yo mu nda y'igituza mu ijosi.
Ubu buvuzi bwose bukorwa buyobowe n'abaganga b'inzobere. Muganga wawe ni we uzagena niba ubikeneye cyangwa utabikeneye.
Ubutumwa bwo kujyana mu rugo
- Kwiheba si intege nke, ni indwara ishobora kuvurwa.
- Bishobora gufata igihe kugira ngo ubone uburyo bwo kuvura (imiti, ubuvuzi) bukwiye, bityo rero ihangane.
- Ntugatangire, ntuhagarike, cyangwa ngo uhindure urugero rw'imiti utabanje kugisha inama muganga wawe.
- Bwira muganga wawe indi miti cyangwa inyongeramusaruro ufata.
- Uburyo bwo kuvura hakoreshejwe uburyo bwo kuvuga no gukora imyitozo ngororamubiri ni ingenzi mu kuvura kimwe n'imiti.
- Gusaba ubufasha biraguha imbaraga. Hari abantu bashobora kugufasha. Ntabwo uri wenyine.
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